| NPI | 1225198385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS B. JOHNSON Senior Partner 740-654-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 14102) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |