NPI | 1205008828 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES D GEORGE President/Owner 330-376-9424 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-012228) |
Enumeration Date | 2008-03-25 |
Last Update Date | 2009-08-13 |