| NPI | 1851551147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD DANIEL ZGODINSKI President/Owner 440-428-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30018002) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |