| NPI | 1245694132 |
|---|---|
| Doing Business As | ROSELAWN FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ERIC MANUEL LOPEZ President 513-257-8948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 21799) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |