| NPI | 1245537125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT B KALNIZ Co Owner 419-724-1758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 30020857) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: OH 30022027) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2011-02-11 |