Individual
THAIJA VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6315 PEARL RD STE 104, PARMA, OH 44130-3082
(440) 842-2200
Mailing address
31042 DURHAM DR, WESTLAKE, OH 44145-6827
(440) 654-1199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.027551
OH
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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