NPI | 1114009594 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD ANTHONY VITULLO Member 937-426-2253 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-022225) |
Enumeration Date | 2006-10-19 |
Last Update Date | 2007-09-10 |