| NPI | 1467512897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYUNG JEAN KAY Dds 419-893-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 30020999) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |