NPI: 1255382800
Provider Name: MODELO DENTAL CARE, INC.
Former Legal Business Name: MODELO DENTAL CARE, INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization
Specialization: General Practice
Address:
2012 W 25TH ST
#720
CLEVELAND, OH
ZIP 44113
Phone: (216) 687-0062
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MODELO DENTAL CARE, INC. is a general practice dentist in Cleveland, OH. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MODELO DENTAL CARE, INC. NPI is 1255382800. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Modelo Dental Care, Inc..
The provider's business location address is:
2012 W 25TH ST
#720
CLEVELAND, OH
ZIP 44113-135
Phone: (216) 687-0062
Fax: (216) 687-9529
The provider's authorized official is Sara Nazco .
The authorized official title is Dds and has the following contact phone number (216) 687-0062.
The enumeration date for this NPI number is 5/16/2006 and was last updated on 10/20/2008.