| NPI | 1568593192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JAMES WALSH Owner 330-847-8122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-021154) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2014-04-01 |