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NPI Code Detail

MEDICARE: PAUL G TARLANO DDS INC

MEDICARE: PAUL G TARLANO DDS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1194997718
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAUL G TARLANO DDS INC
Provider Business Mailing Address
First Line : 3621 DAYTON-XENIA RD
Second Line :
City : BEAVER CREEK
State : OH
Zip : 45432
Country : US
Telephone Number : 937-426-9351
Fax Number :
Provider Business Practice Location Address
First Line : 3621 DAYTON-XENIA RD
Second Line :
City : BEAVER CREEK
State : OH
Zip : 45432
Country : US
Telephone Number : 937-426-9351
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. PAUL GERALD TARLANO
Credential : DDS
Telephone Number : 937-426-9351
Provider Enumeration Date : 03/25/2008
Last Update Date : 03/25/2008

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Directions to “PAUL G TARLANO DDS INC ” Practice Location

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