| NPI | 1114490075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY TOMASE Dentist/ Doctor 419-474-5858 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |