| NPI | 1144465907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R. GREGORY SHELHOUSE Owner Dentist 937-435-5163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 15799) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |