| NPI | 1417250184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT B. KALNIZ Co Owner 419-536-7265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30020857) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30022027) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2010-12-17 |