| NPI | 1326163353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY EDWARD BISCONTI President Owner 330-758-0208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 19209) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |