NPI | 1033953641 |
---|---|
Doing Business As | G&G PEDIATRIC DENTISTRY AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | CORY ALAN GRATHWOL Owner/Pediatric Dentist 419-357-1160 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2024-06-20 |
Last Update Date | 2024-06-20 |