| NPI | 1073285961 |
|---|---|
| Doing Business As | FAIRLAWN PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | LUIS PIRES Owner 330-836-9341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2021-09-29 |