| NPI | 1841596749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL A RICCHETTI President And Secretary 440-461-6008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: OH 14143) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2011-02-10 |