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ELIZABETH MARY DEPAUL D.D.S.

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1194251157

Individual Registrant:
 ELIZABETH MARY DEPAUL D.D.S.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4935 MAYFIELD RD  LYNDHURST, OH 44124-2521 US
Tel: 216-308-9300  Fax: --

Contact information for business:
4935 MAYFIELD RD  LYNDHURST, OH 44124-2521 US
Tel: 216-308-9300  Fax: --

Registration Information:
NPI: 1194251157
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program
OH30.025033

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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