NPI | 1386209625 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL J MINNILLO Owner 440-452-5144 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2019-05-02 |
Last Update Date | 2019-05-02 |