| NPI | 1063624419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA K. ZATROCH Dentist/President 440-951-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.014613) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.022204) |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2019-07-25 |