| NPI | 1467779199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DALE SMITH Dentist 330-492-7889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30020412) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2014-06-12 |