Provider First Line Business Practice Location Address:
3636 MAYFIELD RD
Provider Second Line Business Practice Location Address:
AMERICAN DENTAL CENTERS
Provider Business Practice Location Address City Name:
CLEVELAND HTS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44118
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-291-2600
Provider Business Practice Location Address Fax Number:
216-291-2602
Provider Enumeration Date:
11/03/2006