| NPI | 1154600013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J BUCHWALDER Doctor 937-479-6098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH OH30018199) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |