| NPI | 1538415203 |
|---|---|
| Doing Business As | BRUNSWICK SMILEKEEPERS |
| Entity Type | Organization |
| Authorized Contact | MATT M GAEBELEIN Dentist 330-225-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 20066) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 14831) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |