NPI | 1821204777 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER MICHAEL CONNELL Owner 440-684-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30019275) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2007-11-30 |