Tiara Enterprise Group, INC
Clinic/Center, Dental in North Royalton, OH. Organization (NPI-2).
NPI number1003147752
StatusActive
Last updated in NPPESJun 15, 2012
Details
- NPI
- 1003147752
- Entity type
- Organization (NPI-2)
- Legal business name
- Tiara Enterprise Group, INC
- Organization subpart
- No
- Enumeration date
- Jan 20, 2010
- Last updated
- Jun 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 17970 | OH | Yes |
Practice location
12821 State RdNorth Royalton, OH 44133-3911
Phone 440-230-9401
Mailing address
12821 State RdNorth Royalton, OH 44133-3911
Phone 440-230-9401
Authorized official
James Michael Pelagalli
Member
4402309401
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