| NPI | 1376680090 |
|---|---|
| Doing Business As | WEIGHT LOSS CENTER OF DAYTON |
| Entity Type | Organization |
| Authorized Contact | KENNETH PRUNIER CEO President 937-208-8252 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-03-12 |