NPI | 1114091915 |
---|---|
Doing Business As | JOHNSTOWN DENTAL CARE |
Entity Type | Organization |
Authorized Contact | BRIAN JAY WALSH Owner 740-967-6046 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OH 30019452) |
Additional Taxonomies | 122300000X Dentist (Licence: OH 30020098) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2020-08-22 |