| NPI | 1023362100 |
|---|---|
| Other Name | ST. PAUL DENTAL SERVICE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL C HOLT Director Of Finance 330-489-1268 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2021-04-15 |