| NPI | 1861053647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS MATTHEW KERNS Owner, Pediatric Dentist 330-475-9837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |