NPI | 1043325368 |
---|---|
Other Name | PERRYSBURG FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JON BRUCE DOVE Dentist 419-872-9191 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OH 19539) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2020-08-22 |