| NPI | 1346723889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY JOAN MYERS Owner/Dentist 740-649-6602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |