| NPI | 1104071976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW KILLGORE President 513-633-3857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30022880) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2016-04-20 |