| NPI | 1881130383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA STREIT Orthodontist 330-673-6411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 30018196) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 30023013) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |