| NPI | 1043601271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS J MALCMACHER Owner 216-255-5201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 30.016769) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |