| NPI | 1497967822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH J WOLNIK President 440-888-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 21692) |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2014-10-03 |