NPI | 1972718914 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES CLYDE TROUTEN President 440-942-8300 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 30-01-4723) |
Enumeration Date | 2007-05-12 |
Last Update Date | 2020-08-22 |