Individual
DR. RICHARD A KORMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2012 WEST 25TH STREET, ROOM 200, CLEVELAND, OH 44113-4131
(216) 861-2124
(216) 861-4025
Mailing address
1071 MAPLE CLIFF DR, LAKEWOOD, OH 44107-1251
(216) 226-3976
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-18772
OH
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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