| NPI | 1205072253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED A SCHUSTER President 330-533-8699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 20654) |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2008-12-22 |