Individual
DR. URBAN MICHAEL PICARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15711 MADISON AVE STE 104, LAKEWOOD, OH 44107-5655
(216) 228-9000
(216) 228-8280
Mailing address
15711 MADISON AVE STE 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
07/01/2006
Last updated
07/08/2007
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