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 |