NPI | 1740380690 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY MICHAEL FRATANTONIO President 330-655-8919 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 20675) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2020-08-22 |