| Dent-al Smiles, Llc | |
|
1115 Hicks Blvd # 3 Fairfield OH 45014-2889 | |
| (412) 779-4235 | |
| Not Available |
| Full Name | Dent-al Smiles, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1115 Hicks Blvd, Fairfield, Ohio |
| Authorized Official Name and Position | Alvaro R Lazo (OWNER) |
| Authorized Official Contact | 4127794235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dent-al Smiles, Llc 1115 Hicks Blvd # 3 Fairfield OH 45014-2889 Ph: (412) 779-4235 | Dent-al Smiles, Llc 1115 Hicks Blvd # 3 Fairfield OH 45014-2889 Ph: (412) 779-4235 |
| NPI Number | 1720510001 |
|---|---|
| Provider Enumeration Date | 03/28/2017 |
| Last Update Date | 03/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720510001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 30020814 (Ohio) | Primary |
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