| NPI | 1962525055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DAVID PAULUS President 330-821-4046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: OH 30-013548) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2008-07-09 |