| NPI | 1861735565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAREK FAHMY Dentist 440-506-1913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60085479) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2013-04-01 |