| NPI | 1386618072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN BURKE CROWELL President 440-899-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: OH 19025) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2024-07-30 |