Organization
PERFECT-A-SMILE DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD P SLATEN DDS (OWNER PRESIDENT)
(440) 708-0900
Entity
Organization
Contact information
Practice address
16716 CHILLICOTHE RD, SUITE 700, CHAGRIN FALLS, OH 44023-4595
(440) 708-0900
(440) 708-0904
Mailing address
16716 CHILLICOTHE RD, SUITE 700, CHAGRIN FALLS, OH 44023-4595
(440) 708-0900
(440) 708-0904
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-01-4550
OH
1223G0001X
General Practice Dentistry
30-02-0090
OH
Other
Enumeration date
10/02/2006
Last updated
11/08/2007
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