| NPI | 1003359258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HUNT SIEGEL Secretary Treasurer Hr 513-561-6872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OH 015211) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |