Organization
DENT-AL SMILES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVARO R LAZO DMD (OWNER)
(412) 779-4235
Entity
Organization
Contact information
Practice address
1115 HICKS BLVD, # 3, FAIRFIELD, OH 45014-2889
(412) 779-4235
Mailing address
1115 HICKS BLVD, # 3, FAIRFIELD, OH 45014-2889
(412) 779-4235
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30020814
OH
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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