| NPI | 1801992755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT K OSBORNE President 330-499-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 20690) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2008-08-06 |