| NPI | 1366782153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER G GORDON Owner/President 216-464-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 12679) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-02-15 |