| NPI | 1891847554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN BURDICK DESIMONE Owner President 440-734-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 21585) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-06-19 |