| NPI | 1326680133 |
|---|---|
| Doing Business As | MITAKIDES DDS |
| Entity Type | Organization |
| Authorized Contact | OPAL ANDERSON COO 937-427-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2022-07-20 |