| NPI | 1174053896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA KLECKNER Owner, President 330-923-5287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 21778) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2020-02-14 |