| NPI | 1558376194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON E SECREST President 330-928-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 12964) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-06-12 |