NPI | 1811273238 |
---|---|
Doing Business As | KENMORE FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | DAVID RIAFFE Owner 330-753-8155 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 019625) |
Enumeration Date | 2011-10-31 |
Last Update Date | 2011-10-31 |