| NPI | 1457084907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANCHI BHAVAN SHAH Orthodontist 440-864-1786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2022-07-01 |