| NPI | 1760566962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ROBERT HOUCK President 330-336-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 1134333) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |