| NPI | 1457584989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMI JO SCHAEFERLE Dentist/Co Owner 419-675-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH OH -21007) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-01 |