| NPI | 1356367288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E FISHER Owner 740-588-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: OH 30020613) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: OH 35079106) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-04-04 |