| NPI | 1316068463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW T. NOGLE Owner 513-891-0612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.021534) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |