| NPI | 1396282364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA BRASWELL Office Manager 330-453-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 30.024806) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |