| NPI | 1154485878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JOSEPH MESSINA President 440-895-1627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 18529) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |