| NPI | 1669647608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHARLES KOSKI President 440-461-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 00218686) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |