| NPI | 1144741182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RANDALL CRAWFORD Owner Dentist 330-821-7411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 30-016236) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-07-21 |