| NPI | 1386652386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD B NESBETT Owner 440-886-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 21517) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |