| NPI | 1407089204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN PELCHOVITZ Dentist 513-531-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 21906) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30015517) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |