| NPI | 1689684953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM FRANK KUBICEK Pres 216-831-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30014109) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |