NPI | 1841462843 |
---|---|
Doing Business As | LAPOLLA FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | KENNETH DOMINIC LAPOLLA President 330-609-6565 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 3019432) |
Enumeration Date | 2008-03-31 |
Last Update Date | 2008-03-31 |