| NPI | 1457807448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SILVESTRY-ORTIZ Practice Owner 937-428-6590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30.023629) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |