| NPI | 1750470860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT L. MCDONALD President 440-322-2027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 17387) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-09-28 |