| NPI | 1609905918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH EVOLA President 419-693-0201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH OH19567) |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2020-08-22 |