| NPI | 1124312988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSON K AMERSON Owner/Doctor 419-228-5502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30021934) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |