| Solomon Isakov, Dmd, Llc | |
|
2640 W Market St Ste 302 Fairlawn OH 44333-4202 | |
| (330) 835-1000 | |
| Not Available |
| Full Name | Solomon Isakov, Dmd, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2640 W Market St Ste 302, Fairlawn, Ohio |
| Authorized Official Name and Position | Solomon Isakov (OWNER) |
| Authorized Official Contact | 2164401330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solomon Isakov, Dmd, Llc 2640 W Market St Ste 302 Fairlawn OH 44333-4202 Ph: () - | Solomon Isakov, Dmd, Llc 2640 W Market St Ste 302 Fairlawn OH 44333-4202 Ph: (330) 835-1000 |
| NPI Number | 1831826411 |
|---|---|
| Provider Enumeration Date | 08/04/2022 |
| Last Update Date | 09/12/2024 |
| Medicare PECOS PAC ID | 7517302839 |
|---|---|
| Medicare Enrollment ID | O20240227001092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831826411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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