| NPI | 1013063403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK W. BECKER Owner 419-866-1238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.020528) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |