| NPI | 1902070741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY RICHARD JAFFE Pres/Owner 216-475-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.013685) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |