NPI | 1528153533 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS JOSEPH DIETRICH Owner/President 330-494-6653 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 21924) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2020-01-24 |