| NPI | 1982867149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY C MERTES President 330-655-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 3021515) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2016-03-24 |