NPI | 1184080764 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES P BENNETT Owner 440-835-2121 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-022859) |
Enumeration Date | 2016-01-12 |
Last Update Date | 2016-01-12 |