| NPI | 1386088185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTELA V. DECASTECKER President 440-975-9885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30020652) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-04-23 |