| NPI | 1205575636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MAREE SMITH Orthodontist 937-559-1029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-06-02 |