| NPI | 1457437683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN L MINEER Office Manager 513-769-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 30014392) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 30017606) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |