| Pc Dental Specialties Luis Pires Dmd Llc | |
|
33 Baker Blvd Ste 201 Fairlawn OH 44333-3650 | |
| (330) 836-9341 | |
| Not Available |
| Full Name | Pc Dental Specialties Luis Pires Dmd Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 33 Baker Blvd Ste 201, Fairlawn, Ohio |
| Authorized Official Name and Position | Luis Pires (OWNER) |
| Authorized Official Contact | 3308369341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pc Dental Specialties Luis Pires Dmd Llc 33 Baker Blvd Ste 201 Fairlawn OH 44333-3650 Ph: (330) 836-9341 | Pc Dental Specialties Luis Pires Dmd Llc 33 Baker Blvd Ste 201 Fairlawn OH 44333-3650 Ph: (330) 836-9341 |
| NPI Number | 1073285961 |
|---|---|
| Provider Enumeration Date | 09/29/2021 |
| Last Update Date | 09/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073285961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Secondary |
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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