NPI | 1407159320 |
---|---|
Doing Business As | WESTLAKE FAMILY DENTAL CARE |
Entity Type | Organization |
Authorized Contact | JENNIFER PSOTA DOUGHERTY Sole Mbr 440-835-0011 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OH 21039) |
Enumeration Date | 2010-12-15 |
Last Update Date | 2014-09-25 |