| NPI | 1467415737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELDON LAWRENCE PERSKY President Owner 330-533-9113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 013741) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2015-01-07 |