| NPI | 1285940221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS HOLLAN Office Manager 513-631-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 12762) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-08-27 |