| NPI | 1720221807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED S GLICK President 440-349-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 30.017346) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2023-06-12 |