| NPI | 1316267420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES F BAKER Doctor 937-322-9652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 019373) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-06-11 |