| NPI | 1083941314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MARIE PADGETT Dentist 330-726-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30021871) |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2009-11-06 |