| NPI | 1396139192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE COLOMA President 440-878-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30.020150) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |