| NPI | 1942223284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOKRI A WAHIB Owner President 440-892-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 19772) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |