| NPI | 1982696175 |
|---|---|
| Other Name | HARBOR LIGHT ORAL & MAXILLOFACIAL SURGEONS INC |
| Entity Type | Organization |
| Authorized Contact | PATRICK J MCCABE President 419-517-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2022-07-21 |