NPI | 1184783110 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA KAY BENTLEY Office Coordinator 937-773-3867 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30014528) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2010-08-09 |