NPI | 1639536840 |
---|---|
Doing Business As | CLE ORAL & MAXILLOFACIAL SURGERY WESTLAKE |
Entity Type | Organization |
Authorized Contact | JEFFREY W. KOSMAN Owner 440-934-2626 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 17516) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 30024394) |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 30020221) | |
Enumeration Date | 2016-01-19 |
Last Update Date | 2016-01-19 |