NPI | 1083736110 |
---|---|
Former Legal Business Name | DENTAL DISPENSARY OF NORTHWEST OHIO |
Entity Type | Organization |
Authorized Contact | MELINDA CREE President 419-241-1644 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2007-04-06 |
Last Update Date | 2007-10-11 |