Organization
TIARA ENTERPRISE GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MICHAEL PELAGALLI D.M.D. (MEMBER)
(440) 230-9401
Entity
Organization
Contact information
Practice address
12821 STATE RD, NORTH ROYALTON, OH 44133-3911
(440) 230-9401
Mailing address
12821 STATE RD, NORTH ROYALTON, OH 44133-3911
(440) 230-9401
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
17970
OH
Other
Enumeration date
01/20/2010
Last updated
06/15/2012
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