| NPI | 1427383272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS C DIAMANTIS Owner 216-227-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2009-10-13 |