| NPI | 1033560966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANSOOR BHATTI Director Of Clinical Medicine 419-819-9498 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-23 |