| NPI | 1467543157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LEE AHMAN President 419-229-8771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 15389) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |