| NPI | 1467983205 |
|---|---|
| Doing Business As | HOMETOWN DDS |
| Entity Type | Organization |
| Authorized Contact | TANISHA MOORE President 937-399-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30-023622) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |