| NPI | 1659445500 |
|---|---|
| Other Name | DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | DONNA BOBBICA WARE Financial Manager 216-932-0433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 17091) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 18761) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |