| NPI | 1427081116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED V WHITE, JR. Office Manager 513-721-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 14417) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2009-09-16 |