NPI | 1366074106 |
---|---|
Doing Business As | LONI DICKERHOOF, OD |
Entity Type | Organization |
Authorized Contact | LONI RAE RITTENHOUSE Owner 330-312-0497 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2020-02-10 |
Last Update Date | 2020-02-10 |