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 |