| NPI | 1366420036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS H LIPF President 937-435-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 15235) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30018542) |
| 122300000X Dentist (Licence: OH 30018533) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2020-08-22 |