Organization
DENT-AL SMILES OF EATON,LLC
Active
Other names
Dent-Al Smiles of Eaton, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALVARO R LAZO DMD (OWNER)
(412) 779-4235
Entity
Organization
Contact information
Practice address
1024 N BARRON ST, EATON, OH 45320-1053
(937) 456-6228
Mailing address
1115 HICKS BLVD STE 3, FAIRFIELD, OH 45014-2867
(513) 795-7706
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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