| NPI | 1184866196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN DAVIS HERPY Owner 330-745-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 19266) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |