| NPI | 1336285113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC WAYNE HICKMAN Orthodontist President 513-697-9772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 30020260) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2012-08-28 |