| NPI | 1144610015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF DANNER President 330-494-6016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30018439) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |