| NPI | 1124125323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D. SPRENG President 419-289-1813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 16602) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |