| NPI | 1851518245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE L WENGER Orthodontist 440-442-0916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: OH 13184) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |