| NPI | 1265557466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MATTHEW EVERHART Owner 937-399-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 020908) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |