NPI | 1083875447 |
---|---|
Entity Type | Organization |
Authorized Contact | BARRY R JAFFE President/Owner 440-845-0700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 013685) |
Enumeration Date | 2008-06-18 |
Last Update Date | 2008-06-18 |