Organization
WILLIAM D SQUIRES DDS MS INC
Active
Organization
WILLIAM D SQUIRES DDS MS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DECKER SQUIRES DDS & MS ORTHODONTIC (PRESIDENT)
(440) 331-0055
Entity
Organization
Contact information
Practice address
20800 WESTGATE MEDICAL CENTER, SUITE 108, FAIRVIEW PARK, OH 44126
(440) 331-0055
(440) 331-0056
Mailing address
20800 WESTGATE MEDICAL CENTER, SUITE 108, FAIRVIEW PARK, OH 44126
(440) 331-0055
(440) 331-0056
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12981
OH
Other
Enumeration date
02/08/2007
Last updated
07/14/2016
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