| NPI | 1346613056 |
|---|---|
| Doing Business As | WOOSTER FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRIAN AMISON Owner 330-388-8243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 023452) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 017218) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2015-11-03 |