| 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 |