Provider Demographics
NPI:1487866893
Name:SOBOLEWSKI, DOROTHY (DDS)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:
Last Name:SOBOLEWSKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2278 LEE RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-3433
Mailing Address - Country:US
Mailing Address - Phone:216-321-9399
Mailing Address - Fax:216-321-2910
Practice Address - Street 1:2278 LEE RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44118-3433
Practice Address - Country:US
Practice Address - Phone:216-321-9399
Practice Address - Fax:216-321-2910
Is Sole Proprietor?:No
Enumeration Date:2007-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30201101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice