| NPI | 1104138262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA B. WILLIAMS Sole Member 330-678-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-023161) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2010-07-14 |