| NPI | 1508192683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MAURER Owner 330-928-7674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.020410) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-10-26 |