| NPI | 1356901946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE WORKMAN Analyst, Revenue Cycle Management 440-241-1931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |