| NPI | 1649321878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALAN STOLARZ President 216-956-7060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010194A) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2014-09-22 |