| NPI | 1982063087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP BRIAN SMALDINO President 330-757-2412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 18108) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |