| NPI | 1114383429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN DANIEL PRIEST President 419-289-1813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 30.023255) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |