Individual
DR. EVAN DAVID TETELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
29001 CEDAR RD, SUITE 660, LYNDHURST, OH 44124-4062
(440) 461-8200
(440) 461-8343
Mailing address
29001 CEDAR RD, SUITE 660, LYNDHURST, OH 44124-4062
(440) 461-8200
(440) 461-8343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D16334
OH
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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