| NPI | 1164694311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEWIS GORDON President 513-385-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: OH 30014084) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |