| NPI | 1235369026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE D AMSPAUGH Owner 419-202-5116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30.022111) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |