| NPI | 1740394550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES T FANNO Orthodontist / Secretary/Treasurer 330-494-4580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 12861) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 12322) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |