| NPI | 1205939196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D HABLITZEL Dentist 419-734-2175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 15756) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 013885) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2008-03-25 |