| NPI | 1467856377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER M DIPIERO Owner/General Dentist 330-867-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.023033) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |