| NPI | 1346759339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYUNG JEAN KAY President 419-283-4462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 03020999) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2022-07-21 |