| NPI | 1144379546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY C. SCOTESE Owner 440-205-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: OH 30-01-6248) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |