Provider First Line Business Practice Location Address:
3729 LEE ROAD
Provider Second Line Business Practice Location Address:
SHAKER HEIGHTS DENTAL EXPRESS
Provider Business Practice Location Address City Name:
SHAKER HEIGHTS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44120
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-751-9922
Provider Business Practice Location Address Fax Number:
216-752-0870
Provider Enumeration Date:
11/28/2006