| NPI | 1063681989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FANNY B LYONS Office Manager 330-467-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 16381) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |