Individual
DR. ESMAIEL TAYARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9140 LAKE SHORE BLVD, MENTOR, OH 44060-1637
(440) 257-3900
Mailing address
9140 LAKE SHORE BLVD STE 260, MENTOR, OH 44060-1637
(440) 257-3900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
RES.004738
OH
1223G0001X
General Practice Dentistry
Primary
30.028615
OH
Other
Enumeration date
04/29/2024
Last updated
08/11/2026
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