| NPI | 1649834144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA FRANCIS Office Manager 440-892-8655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |