| NPI | 1912423039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY H. GOLDSTEIN President 216-464-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 14835) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |