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Organization

SAINT LUKE'S DENTAL ASSOCIATES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM F LAVIGNA DDS (PRESIDENT)
(216) 368-7238
Entity
Organization

Contact information

Practice address
11201 SHAKER BLVD, #136, CLEVELAND, OH 44104-3869
(216) 791-8322
Mailing address
11201 SHAKER BLVD, #136, CLEVELAND, OH 44104-3869
(216) 791-8322

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19620
OH

Other

Enumeration date
04/13/2006
Last updated
08/22/2020
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