| NPI | 1942536461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY KAY DELLAGATTA Office 330-206-7731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30020359) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30020279) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |