Individual
DR. JORGE CLEMENTE CASELLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2890 SAND RUN PKWY, FAIRLAWN, OH 44333-2875
(330) 836-0135
(330) 836-3818
Mailing address
2890 SAND RUN PKWY, FAIRLAWN, OH 44333-2875
(330) 836-0135
(330) 836-3818
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30-022145
OH
Other
Enumeration date
02/27/2007
Last updated
11/30/2011
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