Organization
DRS PERO & GLINKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN J PERO DDS (OWNER)
(419) 893-0708
Entity
Organization
Contact information
Practice address
5635 MONCLOVA, MAUMEE, OH 43537-1876
(419) 893-0708
(419) 893-2860
Mailing address
5635 MONCLOVA, MAUMEE, OH 43537-1876
(419) 893-0708
(419) 893-2860
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
13806
OH
1223P0221X
Pediatric Dentistry
14081
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0304325
—
OH
Enumeration date
10/23/2006
Last updated
08/22/2020
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