Provider Demographics
NPI:1518339514
Name:DENTAL & COSMETIC SOLUTIONS LLC
Entity Type:Organization
Organization Name:DENTAL & COSMETIC SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:PASTOUK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:216-292-3600
Mailing Address - Street 1:3550 LANDER RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:PEPPER PIKE
Mailing Address - State:OH
Mailing Address - Zip Code:44124-5760
Mailing Address - Country:US
Mailing Address - Phone:216-292-3600
Mailing Address - Fax:216-292-3794
Practice Address - Street 1:3550 LANDER RD
Practice Address - Street 2:SUITE 140
Practice Address - City:PEPPER PIKE
Practice Address - State:OH
Practice Address - Zip Code:44124-5760
Practice Address - Country:US
Practice Address - Phone:216-292-3600
Practice Address - Fax:216-292-3794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-29
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0216391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty