| NPI | 1588873285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANNE RICHARDS President 440-266-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 18715) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 18409) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2019-03-14 |