| Tiara Enterprise Group, Inc | |
|
12821 State Rd North Royalton OH 44133-3911 | |
| (440) 230-9401 | |
| Not Available |
| Full Name | Tiara Enterprise Group, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12821 State Rd, North Royalton, Ohio |
| Authorized Official Name and Position | James Michael Pelagalli (MEMBER) |
| Authorized Official Contact | 4402309401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiara Enterprise Group, Inc 12821 State Rd North Royalton OH 44133-3911 Ph: (440) 230-9401 | Tiara Enterprise Group, Inc 12821 State Rd North Royalton OH 44133-3911 Ph: (440) 230-9401 |
| NPI Number | 1003147752 |
|---|---|
| Provider Enumeration Date | 01/20/2010 |
| Last Update Date | 06/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003147752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 17970 (Ohio) | Primary |
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