| NPI | 1215021332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC GALLATIN Endodontist/Owner 937-610-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OH 20309) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-02-26 |