| NPI | 1356567606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URBAN M PICARD President 216-228-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 30.017754) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |