NPI | 1306050794 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH M SIROCKY General Dentist Owner Of Practice 440-238-2298 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OH 30015213) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2020-08-22 |