| NPI | 1144561002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN K SMITH Owner 216-228-4232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 3018374) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-03-01 |