| NPI | 1649491929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON P. KIRLOUGH Owner 440-234-2445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-02-1224) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |