Buckeye Family Dental
Restricted
Buckeye Family Dental is subject to Restricted. See the individual lists below.
View Citation
Address
4163 Pearl Road,Cleveland,Ohio,44109
ID Details
ID NUMBER : 0095896
ID TYPE : Provider ID
ID NUMBER : 1649691106
ID TYPE : Npi
View Notes
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Buckeye Family Dental Sanctioned By Below Authority
| List Name | List Authority | Effective Date ▼ | Status |
|---|---|---|---|
| The Ohio Department of Medicaid (ODM) | Dec 13, 2016 | active |
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