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 |