| NPI | 1841372935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK G HANS Chairman 216-368-4649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 16067) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |