Organization
CHILDREN'S SMILES DENTAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYRA L MEYER DDSMS (PEDIATRIC DENTIST)
(419) 229-3007
Entity
Organization
Contact information
Practice address
2969 BLUE JACKET CT., LIMA, OH 45806-1464
(419) 229-3007
Mailing address
2969 BLUE JACKET CT, LIMA, OH 45806-1464
(419) 229-3007
(419) 229-0214
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30020325
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2354429
—
OH
Enumeration date
04/11/2008
Last updated
04/11/2008
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