| NPI | 1972517712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D. CERCEK Orthodontist 419-698-3782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: OH 30012421) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |