NPI | 1639398563 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA ANN LEHKY President 330-864-3331 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 19179) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2020-08-22 |