| NPI | 1265642748 |
|---|---|
| Doing Business As | DOC FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | GARIMA GUPTA Credentialing Specialist 937-424-2215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30016151) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2015-01-21 |