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Organization

DENTAL PROFESSIONALS CLEVELAND-NOUNEH, INC.

Active
Parent organization
DENTAL PROFESSIONAL CLEVELAND-NOUNEH, INC.
Other names
bright now dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTAL PROFESSIONAL CLEVELAND-NOUNEH, INC.
Authorized official
DIANE L ULICHNEY (CREDENTIALING MANAGER)
(440) 345-9068
Entity
Organization

Contact information

Practice address
1313 W BOGART RD, SANDUSKY, OH 44870-5704
(419) 627-1255
(419) 627-0422
Mailing address
6315 PEARL RD STE 201, PARMA HEIGHTS, OH 44130-3074
(440) 345-9068
(440) 842-4612

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19758
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2497454
OH
Enumeration date
12/31/2007
Last updated
05/13/2009
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