NPI | 1215010368 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN J PERO Owner 419-893-0708 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 13806) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 14081) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2020-08-22 |