| NPI | 1346759339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT PAULUS President 419-893-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2025-05-07 |