NPI | 1588788525 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD A KORMOS President 216-861-2124 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-18772) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2018-12-31 |