NPI | 1477814697 |
---|---|
Entity Type | Organization |
Authorized Contact | SEAN MIRFENDERESKI Owner 740-454-9961 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-021794) |
Enumeration Date | 2012-06-05 |
Last Update Date | 2012-06-05 |