| NPI | 1952501835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHEAL BRENNAN President 330-733-7549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 18486) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 18955) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |