| NPI | 1467797134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS C MACLEAN Secretary Treasurer 513-424-5339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: OH 20757) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |