NPI | 1619435708 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL DAVID STERN President 440-833-6008 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2019-03-07 |
Last Update Date | 2019-08-22 |