NPI | 1730428830 |
---|---|
Entity Type | Organization |
Authorized Contact | KANTHASAMY RAGUNANTHAN Dentist/Owner 330-453-8787 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 19147) |
Enumeration Date | 2013-02-08 |
Last Update Date | 2013-02-08 |