NPI | 1083760763 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM F LAVIGNA President 216-368-7238 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 14847) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2020-08-22 |