| Dentlife Dental Care | |
|
27087 Lorain Rd North Olmsted OH 44070-3213 | |
| (440) 471-4098 | |
| Not Available |
| Full Name | Dentlife Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 27087 Lorain Rd, North Olmsted, Ohio |
| Authorized Official Name and Position | Dug Soo Kim (OWNER/DMD) |
| Authorized Official Contact | 4404714098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentlife Dental Care 27087 Lorain Rd North Olmsted OH 44070-3213 Ph: (440) 471-4098 | Dentlife Dental Care 27087 Lorain Rd North Olmsted OH 44070-3213 Ph: (440) 471-4098 |
| NPI Number | 1184325979 |
|---|---|
| Provider Enumeration Date | 03/17/2023 |
| Last Update Date | 03/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184325979 | NPI | - | NPPES |
| 1114332046 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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