| NPI | 1417071176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BROKLOFF Oral Surgeon 330-644-8401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 228221) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |