Provider Demographics
NPI:1679153183
Name:AFFORDABLE DENTURES - MENTOR NATALIE FARBER DDS INC
Entity Type:Organization
Organization Name:AFFORDABLE DENTURES - MENTOR NATALIE FARBER DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FARBER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-205-0616
Mailing Address - Street 1:9114 MENTOR AVE
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-6404
Mailing Address - Country:US
Mailing Address - Phone:440-205-0616
Mailing Address - Fax:
Practice Address - Street 1:9114 MENTOR AVE
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-6404
Practice Address - Country:US
Practice Address - Phone:440-205-0616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty