| NPI | 1194179036 |
|---|---|
| Doing Business As | CROSS CREEK FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | IGOR J. SKALSKY CEO/Owner 330-273-1544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30.016564) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |