| NPI | 1184779530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT B. KALNIZ Owner 419-536-7265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-020857) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |