NPI | 1487878864 |
---|---|
Doing Business As | EASTGATE DENTAL EXCELLENCE |
Entity Type | Organization |
Authorized Contact | STEPHEN P KUENNEMEIER President 513-753-0044 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 16903) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2020-08-22 |