| NPI | 1194920322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J SCHOONMAKER CEO 740-773-6159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 30019719) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |