| 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 |