| NPI | 1225333578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN K MONTGOMERY Owner 937-642-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30022373) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |