| NPI | 1891801965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WILLIAM CORDRICK Owner 440-842-5070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: OH 13653) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |