| NPI | 1689884447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS S KELLY President 216-464-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 30-01-9809) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |