| NPI | 1033325642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JOHN-NICOLAS D'AVELLO President 330-923-3501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH OH-18629) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |