| NPI | 1700185634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH E. SNELSON Partner 330-856-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 11913) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-07-25 |