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1528685369
JUSTIN MACKERT
LAKEWOOD, OH
NPI
1528685369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OH 30.026215)
Enumeration Date
2020-06-27
Last Update Date
2020-06-27
Business Address
JUSTIN MACKERT DMD
15711 MADISON AVE STE 104
LAKEWOOD, OH 44107-5655
Phone number: 440-823-3175
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Mailing Address
JUSTIN MACKERT DMD
15711 MADISON AVE STE 104
LAKEWOOD, OH 44107-5655
Phone number: 440-823-3175
Copy
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