NPI | 1639577141 |
---|---|
Entity Type | Organization |
Authorized Contact | HOLLY B. WAITE President 330-607-8098 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 20821) |
Enumeration Date | 2014-12-15 |
Last Update Date | 2015-05-08 |