| NPI | 1144525858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW S MATTA Member 330-533-3400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DP000590) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-12 |