| NPI | 1558801480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS E DESATNIK President 216-831-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH OH 30-023233) |
| Enumeration Date | 2017-02-25 |
| Last Update Date | 2017-11-28 |