Individual
LEAH PERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
16909 CHAGRIN BLVD, CLEVELAND, OH 44120-3725
(216) 862-0544
Mailing address
16909 CHAGRIN BLVD, CLEVELAND, OH 44120-3725
(216) 862-0544
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30.025473
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841743630
—
NY
Enumeration date
07/27/2016
Last updated
11/16/2018
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