| NPI | 1255382800 |
|---|---|
| Former Legal Business Name | MODELO DENTAL CARE, INC. |
| Entity Type | Organization |
| Authorized Contact | SARA NAZCO Dds 216-687-0062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 3019317) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-10-20 |