Organization
RICHARD C. FLORES, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD FLORES DDS (OWNER)
(440) 665-0245
Entity
Organization
Contact information
Practice address
34940 RIDGE RD, WILLOUGHBY, OH 44094-4196
(440) 975-5774
Mailing address
2000 KING JAMES PKWY APT 143, WESTLAKE, OH 44145-3477
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30.023927
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306281191
—
OH
Enumeration date
11/16/2017
Last updated
11/16/2017
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