| NPI | 1578146726 |
|---|---|
| Doing Business As | WESTERN RESERVE PERIODONTICS, INC |
| Entity Type | Organization |
| Authorized Contact | SAYURI SMITH Owner 301-221-1206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |