| NPI | 1104973882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON G EPLEY President 937-253-8958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 012665) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |