| NPI | 1396959508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN PATTERSON Office Manager 513-424-5339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 16076) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |