| NPI | 1992011548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL R KREEGER Office Manager 440-934-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30.021894) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |