| NPI | 1124816053 |
|---|---|
| Doing Business As | MARYSVILLE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL HALASA Owner 937-644-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-07-05 |