NPI | 1497160204 |
---|---|
Doing Business As | CAMPUS FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | JOHN PASICZNYK Manager 330-990-5055 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011425A) |
Enumeration Date | 2014-07-01 |
Last Update Date | 2014-07-01 |