| NPI | 1952436412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLO MARINO Vice President 330-920-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 19182) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |