| NPI | 1255698452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAEEMAH LEWIS Owner 216-297-9835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 30.023142) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |