| NPI | 1205959798 |
|---|---|
| Doing Business As | EASTGATE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JAN STEFAN LABEDA President 513-732-6660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |