NPI | 1851640445 |
---|---|
Entity Type | Organization |
Authorized Contact | TERENCE ROBERT DENTKOS Sole Member 330-419-0044 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OH 3002020607) |
Enumeration Date | 2012-08-29 |
Last Update Date | 2012-08-29 |