| NPI | 1356758015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID T TANKOVICH Operations Director 513-868-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30019324) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-12-08 |