NPI | 1063865848 |
---|---|
Entity Type | Organization |
Authorized Contact | CINDY MOLLICA Office Manager 3307-256-0182 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.24802) |
Enumeration Date | 2016-07-18 |
Last Update Date | 2016-07-18 |