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 |