| NPI | 1851310999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN J GLAVAN President 440-266-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 18504) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |