| NPI | 1174752521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED ALI KANAWATI Owner 440-777-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: OH 30022374) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-07-07 |