| NPI | 1003186586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD DAVID FERGUSON President 330-335-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 21633) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |