| NPI | 1851401590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLACE G VAN HALA Office Manager 330-685-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 14482) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |