| NPI | 1003207010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN LOUISE BROYLES Dentist/Owner 513-541-5599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.023231) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |