| NPI | 1487793469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PUCCIO Owner 513-423-0779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-019191) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |