Individual
DR. LARRY P KRAVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
35110 EUCLID AVE # 100, WILLOUGHBY, OH 44094-4523
(440) 942-6565
(440) 942-2114
Mailing address
35110 EUCLID AVE # 100, WILLOUGHBY, OH 44094-4523
(440) 942-6565
(440) 942-2114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-1-4961
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30-1-14961
DENTAL STATE LICENSE NUMB
OH
Enumeration date
02/18/2007
Last updated
07/08/2007
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