| NPI | 1083704399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN DOWNEY President/Owner 419-352-8453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 21025) |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2020-08-22 |