| NPI | 1225278971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY A MCDONALD Sole Proprieter / Owner 513-825-7570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 18367) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |