Organization
HYATT FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN J. HYATT DDS (OWNER.)
(440) 323-2523
Entity
Organization
Contact information
Practice address
301 EAST AVENUE, ELYRIA, OH 44035
(440) 323-2523
(440) 323-2690
Mailing address
301 EAST AVENUE, ELYRIA, OH 44035
(440) 323-2523
(440) 323-2690
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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