| NPI | 1841489879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HELEN PARISH Financial Coordinator 330-562-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 19192) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 021804) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |