| NPI | 1639391220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HARLIN DOTY President 330-225-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 14831) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2011-03-15 |