| NPI | 1144675273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA M WOLF Owner 440-223-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS040686) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |