| NPI | 1003930884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN VERY President 330-505-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 20271) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |