| NPI | 1982817078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MATANZO President 740-266-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 18032) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |