| 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 |