| NPI | 1306058722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH H LAWRENCE President 440-974-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 30019469) |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2020-08-22 |