| NPI | 1083349708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE C VILARDO Dentist 513-474-7378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2025-08-04 |