Provider Demographics
NPI:1992808307
Name:RICHARD S HONG DMD & KYOKO OZAWA DMD INC
Entity type:Organization
Organization Name:RICHARD S HONG DMD & KYOKO OZAWA DMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:HONG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:216-265-8900
Mailing Address - Street 1:15400 SNOW RD
Mailing Address - Street 2:#2
Mailing Address - City:BROOK PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44142
Mailing Address - Country:US
Mailing Address - Phone:216-265-8900
Mailing Address - Fax:216-265-8959
Practice Address - Street 1:15400 SNOW RD
Practice Address - Street 2:#2
Practice Address - City:BROOK PARK
Practice Address - State:OH
Practice Address - Zip Code:44142
Practice Address - Country:US
Practice Address - Phone:216-265-8900
Practice Address - Fax:216-265-8959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty