| NPI | 1861533507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBHASH KHATERPAUL President Dentist 330-856-8148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35069121K) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2015-08-18 |