| NPI | 1073744041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL DAVID GROSSHANDLER President/CEO 740-453-9178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 16423) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-08-07 |