| NPI | 1942415963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | G. SCOTT PRATT President 440-322-1725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 17820) |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2008-05-14 |