NPI | 1083150742 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY S ROSENTHAL Owner 440-352-5700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-020624) |
Enumeration Date | 2017-01-18 |
Last Update Date | 2024-03-26 |