| NPI | 1952919714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA PAPANDROPOULOS Credentialing Coordinator 216-860-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2021-07-12 |