Center for Advanced Periodontal & Implant Care, Inc.

NPI #1750782298 in Canton, Ohio

Provider Information

NPI Number: 1750782298
Entity Type: Organization
Organization Name: Center for Advanced Periodontal & Implant Care, Inc.
Primary Specialty: Dentist - Periodontics
Enumeration Date: Sep 15, 2014
Last Updated: Sep 15, 2014

Practice Location

Address: 4410 EXECUTIVE CIR NW
City: Canton
State: Ohio
ZIP Code: 44718-2983
Phone: (330) 494-7004

Authorized Official

Name: DR. CONSTANTIN FARAH, DDS, MSD
Title: CEO
Phone: (330) 494-7004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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