| NPI | 1104417377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART DUCHON Owner 440-799-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-02-01 |