Individual
PAULINA ARIADNA LARA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
7610 MENTOR AVE, MENTOR, OH 44060-5411
(440) 975-9300
Mailing address
7610 MENTOR AVE, MENTOR, OH 44060-5411
(440) 975-9300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.026282
OH
Other
Enumeration date
05/31/2018
Last updated
07/27/2023
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