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11100 Euclid Ave Rbc Ste 1200 Cleveland OH 44106-1716 | |
| (216) 844-3080 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11100 Euclid Ave, Cleveland, Ohio |
| Authorized Official Name and Position | Anthony Schillero (DIRECTOR, FP&A) |
| Authorized Official Contact | 2167678141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 772930 Detroit MI 48277-2930 Ph: () - | 11100 Euclid Ave Rbc Ste 1200 Cleveland OH 44106-1716 Ph: (216) 844-3080 |
| NPI Number | 1396209771 |
|---|---|
| Provider Enumeration Date | 01/30/2019 |
| Last Update Date | 04/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396209771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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