| Thomas E Kavanagh DDS Inc | |
|
1417 Marlowe Ave Lakewood OH 44107-4318 | |
| (216) 221-7500 | |
| (216) 221-2430 |
| Full Name | Thomas E Kavanagh DDS Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1417 Marlowe Ave, Lakewood, Ohio |
| Authorized Official Name and Position | Thomas E Kavanagh (OWNER) |
| Authorized Official Contact | 4402411749 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas E Kavanagh DDS Inc 1417 Marlowe Ave Lakewood OH 44107-4318 Ph: (216) 221-7500 | Thomas E Kavanagh DDS Inc 1417 Marlowe Ave Lakewood OH 44107-4318 Ph: (216) 221-7500 |
| NPI Number | 1265147268 |
|---|---|
| Provider Enumeration Date | 01/16/2023 |
| Last Update Date | 01/16/2023 |
| Certification Date | 01/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265147268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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