| NPI | 1447226998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MATTHEW VENZEL Member 440-934-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30.017951) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2020-08-22 |