| NPI | 1114044625 |
|---|---|
| Doing Business As | KLERMONT 4 KIDS & ADULTS 2 |
| Entity Type | Organization |
| Authorized Contact | WILLIAM RUDOLPH FRY Business Manager 513-735-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 3001796) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |