| NPI | 1649686676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R. BEDFORD President 440-292-5773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 15902) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |