| NPI | 1437162666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG C MERTES President 330-655-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 21515) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2011-12-13 |