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Organization

PERIODONTAL SPECIALISTS INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC W. GUIRGUIS DDS, MSD (PRESIDENT)
(440) 835-8883
Entity
Organization

Contact information

Practice address
29160 CENTER RIDGE RD, SUITE J, WESTLAKE, OH 44145-5225
(440) 835-8883
(440) 835-9395
Mailing address
29160 CENTER RIDGE RD, SUITE J, WESTLAKE, OH 44145-5225
(440) 835-8883
(440) 835-9395

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
18958
OH
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary

Other

Enumeration date
02/15/2007
Last updated
03/25/2021
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