| NPI | 1952697815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE MICHAEL LEONHARDT Dentist/President 330-762-8606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30-01-4604) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |