| NPI | 1952511719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE COMMARATO President 330-394-1516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30-01-9108) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2009-06-11 |