| NPI | 1245617364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY LYNN SIMMS President 330-289-6019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN013367) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |