NPI | 1104226174 |
---|---|
Entity Type | Organization |
Authorized Contact | S. RICHARD SCOTT Orthodontist 937-644-8830 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 18834) |
Enumeration Date | 2014-08-27 |
Last Update Date | 2014-08-27 |