| NPI | 1881770261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ARDEN HOOVER President 330-650-0360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 16072) |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2020-08-22 |