Organization
URBAN M. PICARD DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. URBAN M PICARD DDS (PRESIDENT)
(216) 228-9000
Entity
Organization
Contact information
Practice address
15711 MADISON AVE, SUITE #104, LAKEWOOD, OH 44107-5655
(216) 228-9000
(216) 228-8280
Mailing address
15711 MADISON AVE, SUITE #104, LAKEWOOD, OH 44107-5655
(216) 228-9000
(216) 228-8280
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30.017754
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0879581
—
OH
Enumeration date
04/17/2007
Last updated
08/22/2020
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