| NPI | 1336307784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT ANGELO CASERTA President 440-953-1733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 3001527) |
| Enumeration Date | 2008-06-01 |
| Last Update Date | 2008-06-01 |