| NPI | 1831909779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW DAVID CAREW CEO 216-387-7690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-01-13 |