| NPI | 1619037223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN M. ASH President 330-493-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 19406) |
| Additional Taxonomies | 1223P0300X Dentist Periodontics (Licence: OH 19446) |
| 261QD0000X Clinic/Center Dental | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2018-09-19 |