| NPI | 1477931293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D JONES President 330-394-7462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30019978) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |