NPI | 1093918500 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT STANLEY BUKE PT R 419-782-7746 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30. 013 443) |
Enumeration Date | 2007-06-11 |
Last Update Date | 2020-08-22 |