| NPI | 1154531341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER THIELEN President 513-541-5655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 30-016842) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-08-15 |