| NPI | 1831644137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE WORKMAN Analyst, Revenue Cycle Management 440-241-1931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 8568) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2018-12-03 |