| NPI | 1437326469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN FREDERICK HARJU President/Treasurer 937-339-5782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 21429) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |