| NPI | 1235399411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES OSCAR DU BOIS Owner 740-439-2962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30. 021017) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |