NPI | 1184772394 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC SCHILLING WISSLER President 740-775-0808 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 18801) |
Enumeration Date | 2007-01-07 |
Last Update Date | 2020-08-22 |