| NPI | 1134542269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER K OLIVEIRA Owner 216-233-9272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 60132) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |