| NPI | 1245385590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD BLANK Dentist President 937-399-9381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 30-022073) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2010-05-04 |