| NPI | 1962689968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT LOUIS FIORITA Owner 330-345-1582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 18119) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2012-05-03 |