| NPI | 1134213127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MARIE JOHNS Doctor/President 330-658-6893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30022174) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |