NPI | 1912277138 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY JOHNE SNEVEL Owner/Dentist 440-946-9701 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.023495) |
Enumeration Date | 2012-01-04 |
Last Update Date | 2012-01-04 |