| NPI | 1083950042 |
|---|---|
| Doing Business As | CLEVELAND STREET FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOHN R WHITE Doctor 864-271-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-19 |