Whalio Doctors

NPI 1003147752

Tiara Enterprise Group, INC

Organisation Dental Clinic/Center North Royalton, OH

Practice location

Address
12821 State Rd, North Royalton, OH 44133-3911
Phone
(440) 230-9401

Authorised official

Name
James Michael Pelagalli
Title
Member
Phone
(440) 230-9401

Registered specialties

Dental Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 17970 (OH)

Registry record

NPI
1003147752
Entity type
Organization
NPI issued
20 Jan 2010
Record last updated
15 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.