| Dr Bruce Enrique Imbacuan, DDS | |
|
14805 Detroit Ave Ste 515, Lakewood, OH 44107-3921 | |
| (216) 521-3510 | |
| Not Available |
| Full Name | Dr Bruce Enrique Imbacuan |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 14805 Detroit Ave Ste 515, Lakewood, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568358323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30.027827 (Ohio) | Secondary |
| 122300000X | Dentist | 30.027827 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce Enrique Imbacuan, DDS 3659 W 128th St, Cleveland, OH 44111-4524 Ph: (216) 618-1742 | Dr Bruce Enrique Imbacuan, DDS 14805 Detroit Ave Ste 515, Lakewood, OH 44107-3921 Ph: (216) 521-3510 |
Margaret Lucretia Sullivan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14500 Madison Ave, Lakewood, OH 44107 Phone: 216-521-3727 | |
Dr. Basilios C Costaras, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 874 Beach Rd, Lakewood, OH 44107 Phone: 216-469-3356 | |
Dr. Jill Marie Harter, Dentist Medicare: Not Enrolled in Medicare Practice Location: 18224 Detroit Ave, Lakewood, OH 44107 Phone: 216-226-3880 Fax: 216-226-2030 | |
Dr. Ronald Paul Kolodziej, D.M.D., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 17500 Madison Ave, Lakewood, OH 44107 Phone: 216-529-8422 Fax: 216-529-1848 | |
Dr. Thomas E. Kavanagh, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1417 Marlowe Ave, Lakewood, OH 44107 Phone: 216-221-7500 Fax: 216-221-2430 | |
Rami Mouded, DDS Dentist Medicare: Medicare Enrolled Practice Location: 14865 Detroit Ave, Lakewood, OH 44107 Phone: 216-772-2310 | |
Robert Frank Legan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 15642 Madison Ave, Lakewood, OH 44107 Phone: 216-521-5482 Fax: 216-521-5482 |