Urban M. Picard DDS, INC
Dentist, Oral and Maxillofacial Surgery in Lakewood, OH. Organization (NPI-2).
NPI number1356567606
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1356567606
- Entity type
- Organization (NPI-2)
- Legal business name
- Urban M. Picard DDS, INC
- Organization subpart
- No
- Enumeration date
- Apr 17, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 30.017754 | OH | Yes |
Practice location
15711 Madison AveSuite #104
Lakewood, OH 44107-5655
Phone 216-228-9000 · Fax 216-228-8280
Mailing address
15711 Madison AveSuite #104
Lakewood, OH 44107-5655
Phone 216-228-9000 · Fax 216-228-8280
Authorized official
Urban M Picard
President
2162289000
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Other Oral and Maxillofacial Surgery (Dentist) providers in Lakewood, OH
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All 6 Oral and Maxillofacial Surgery (Dentist) providers in Lakewood · All 1,056 providers in Lakewood
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