| NPI | 1760661789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY RICHARD MCCLAIN President 330-856-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: OH 35075926) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |