NPI | 1396120226 |
---|---|
Doing Business As | DENTALWORKS OF STOW |
Entity Type | Organization |
Authorized Contact | RACHEL NITTINGER Manager Credentialing 972-755-0816 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30-024364) |
Enumeration Date | 2015-07-21 |
Last Update Date | 2018-03-20 |