| NPI | 1215808589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED HAIDER HASSAN Owner 513-515-5256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-10-16 |