| NPI | 1649026022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN TOMSIC President 440-213-9459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2024-05-01 |