| NPI | 1417250754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ANGELO LUCIDO Dentist 330-821-0441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.017985) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |