| NPI | 1891960449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE J SALATA President 330-879-0121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 19168) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-25 |