| NPI | 1043351034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WAYNE HANCOCK Owner 419-229-0776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 30 . 20842) |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2008-03-19 |