| NPI | 1255487658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR A LAWRENCE President 937-435-8202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 11037) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |