Individual
BRET M PAVLICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3054 W TUSCARAWAS STREET, CANTON, OH 44708
(330) 454-6621
(330) 454-1555
Mailing address
PO BOX 80537, CANTON, OH 44708
(330) 454-6621
(330) 454-1555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20077
OH
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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