| NPI | 1356387542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD DESATNIK President 513-671-6722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 30.010761) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |