| NPI | 1124090097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM H BOADI President & CEO 419-534-2479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 18842) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-08-22 |