| NPI | 1790803195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY JANE QADRI Owner President 330-655-2916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 19827) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 19874) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2017-03-14 |