| NPI | 1922371046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS M CARRATOLA Member 419-499-2472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30017312) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2013-12-04 |