| NPI | 1255428454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD THOMAS NORCROSS President 440-835-2668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 14768) |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2020-08-22 |