| NPI | 1629088901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK J DAMICO President 440-826-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-01-8749) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |