| NPI | 1124407234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH SHAW Office Manager 740-474-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 30.024484) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |