| NPI | 1578640066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MICCHIA Dentist/CEO 440-257-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 15919) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-10-21 |