Organization · Type 2 NPI
Eastlake Oh Dentist LLC
Dental Clinic/Center · Eastlake, OH
NPI number
1124942008
Active
Practice location
34051 Vine St
Eastlake, OH 44095-5107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Eastlake
About NPI 1124942008
Eastlake Oh Dentist LLC's National Provider Identifier is 1124942008, issued on Aug 5, 2026. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Eastlake, OH. The record was last updated on Aug 5, 2026.