NPI | 1306997614 |
---|---|
Entity Type | Organization |
Authorized Contact | DOTTY L ORR Office Manager 330-869-0137 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2007-01-15 |
Last Update Date | 2020-08-22 |