Children'S Dental Assoc., INC.
Dentist, Pediatric Dentistry in Chagrin Falls, OH. Organization (NPI-2).
NPI number1760601397
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1760601397
- Entity type
- Organization (NPI-2)
- Legal business name
- Children'S Dental Assoc., INC.
- Organization subpart
- No
- Enumeration date
- Apr 24, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 15903 | OH | Yes |
Practice location
8401 Chagrin Rd# 2
Chagrin Falls, OH 44023-4701
Phone 440-708-1331 · Fax 440-708-1777
Mailing address
8401 Chagrin Rd# 2
Chagrin Falls, OH 44023-4701
Phone 440-708-1331 · Fax 440-708-1777
Authorized official
Lawrence Edward Brown
Vice-President
4407081331
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