| NPI | 1174681696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD DON SHUMAKER Owner 216-621-1953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30012767) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |