NPI | 1164971024 |
---|---|
Doing Business As | DENTAL CARE OF OHIO, MADISON |
Entity Type | Organization |
Authorized Contact | ANDREW MATTA Owner 724-698-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OH 30.022469) |
Enumeration Date | 2016-10-03 |
Last Update Date | 2016-10-03 |