NPI | 1356498844 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER ANTHONY HESS President 440-461-3400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: OH 18232) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2020-08-22 |