| NPI | 1417055799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BRADLEY KRILL President Owner 513-891-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: OH 16364) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |