| NPI | 1043355415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER NICHOLAS STAMATIS President 440-988-4464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 19271) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |