# TIARA ENTERPRISE GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003147752
- **Authorized official:** DR. JAMES MICHAEL PELAGALLI D.M.D. (MEMBER)
- **Authorized official phone:** (440) 230-9401

## Contact information

- **Practice address:** 12821 STATE RD, NORTH ROYALTON, OH 44133-3911
- **Practice address phone:** (440) 230-9401
- **Mailing address:** 12821 STATE RD, NORTH ROYALTON, OH 44133-3911
- **Mailing address phone:** (440) 230-9401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 17970 | OH | Yes |

## Other

- **Enumeration date:** 01/20/2010
- **Last updated:** 06/15/2012