| NPI | 1487826046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI DOYLE Accounts Receivable Coordinator 740-477-8544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |