| NPI | 1134275233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY CLINE Administrative Assistant 740-592-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2013-05-08 |