| NPI | 1003023318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER G MICHALOS President 330-492-0134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 15190) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-05-23 |