| NPI | 1154442168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN HANLON Periodontist 513-662-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: OH 30019265) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |