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General NPI Number Information
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NPI Number | 1689708562
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Entity Type | Organization
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Legal Business Name | DR. WENDY A. SYNYNBERG, INC.
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8224 MENTOR AVENUE SUITE #142
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City | MENTOR
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State | OH
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Zip | 44060
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Country | US
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Telephone | 440-974-4449
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Fax |
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Provider Business Mailing Address
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Address Line | 33389 CEDAR ROAD
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City | CLEVELAND
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State | OH
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Zip | 44124
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Country | US
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Telephone | 440-974-4449
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. RICHARD M. KELLNER
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Credential |
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Telephone | 440-974-4449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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