| 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 |