| NPI | 1023552213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE R BELL Owner 330-497-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2022-10-07 |