| Advanced Dental Care Of Streetsboro | |
|
9305 Market Square Dr Streetsboro OH 44241-5294 | |
| (330) 422-0011 | |
| Not Available |
| Full Name | Advanced Dental Care Of Streetsboro |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9305 Market Square Dr, Streetsboro, Ohio |
| Authorized Official Name and Position | Cassandra Petersen (CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 2175408972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Care Of Streetsboro 9305 Market Square Dr Streetsboro OH 44241-5294 Ph: () - | Advanced Dental Care Of Streetsboro 9305 Market Square Dr Streetsboro OH 44241-5294 Ph: (330) 422-0011 |
| NPI Number | 1801387972 |
|---|---|
| Provider Enumeration Date | 05/24/2018 |
| Last Update Date | 08/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801387972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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