NPI | 1760687206 |
---|---|
Entity Type | Organization |
Authorized Contact | MARION L. OSTER Owner 440-461-1157 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 16807) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2020-08-22 |