| NPI | 1104059658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE A. BAUR Department Chair 216-368-3102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2021-06-22 |