| NPI | 1194295972 |
|---|---|
| Doing Business As | ESSENTIAL DENTAL |
| Entity Type | Organization |
| Authorized Contact | DERRICK SNYDER Vice President 419-890-9978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2018-12-05 |