| NPI | 1083223192 |
|---|---|
| Doing Business As | ALEXIS ROAD FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | TABATHA PIERCE Office Manager 419-471-1208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-29 |