| NPI | 1306997614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA HAMMER Office Manager 330-688-8667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2024-06-20 |