| NPI | 1891813002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A. MCNULTY President 440-282-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 13940) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |