Case School Of Dental Medicine
Clinic/Center, Dental in Cleveland, OH. Organization (NPI-2).
NPI number1760723902
StatusActive
Last updated in NPPESMar 13, 2013
Details
- NPI
- 1760723902
- Entity type
- Organization (NPI-2)
- Legal business name
- Case School Of Dental Medicine
- Organization subpart
- Yes
- Enumeration date
- Mar 13, 2013
- Last updated
- Mar 13, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 11229 | OH | Yes |
| 261QS0112X | Clinic/Center, Oral and Maxillofacial Surgery | 11229 | OH |
Other names
- None (Doing Business As)
Practice location
2124 Cornell RdCleveland, OH 44106-3804
Phone 216-368-5210 · Fax 216-368-6771
Mailing address
2124 Cornell RdCleveland, OH 44106-3804
Phone 216-368-5210
Authorized official
Lisa Lang
Director- Dept. Of Comprehensive Ca
2163685210
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