# DENT-AL SMILES OF EATON,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dent-Al Smiles of Eaton, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275009417
- **Authorized official:** ALVARO R LAZO DMD (OWNER)
- **Authorized official phone:** (412) 779-4235

## Contact information

- **Practice address:** 1024 N BARRON ST, EATON, OH 45320-1053
- **Practice address phone:** (937) 456-6228
- **Mailing address:** 1115 HICKS BLVD STE 3, FAIRFIELD, OH 45014-2867
- **Mailing address phone:** (513) 795-7706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/15/2018
- **Last updated:** 10/15/2018