| NPI | 1790815033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL E TAYLOR Dentist 330-425-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 19006) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 19007) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |