| NPI | 1013386739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MARK DANCZAK Associate Dentist 216-280-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.024612) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |