| NPI | 1497196232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN R BRANAM Pediatric Dentist 419-698-4339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: OH 14897) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-07-09 |