| NPI | 1154443760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD EDWARD CORWIN Owner 513-451-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 17638) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |