| NPI | 1982800066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ECHOLS WATTS President 330-856-3320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 14994) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |