Individual
WILLIAM SQUIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20800 WESTGATE MEDICAL CENTER, SUITE 108, FAIRVIEW PARK, OH 44126
(440) 331-0055
Mailing address
20800 WESTGATE MEDICAL CENTER, SUITE 108, FAIRVIEW PARK, OH 44126
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12981
OH
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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