| NPI | 1508924739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KENNEDY BOEDIGHEIMER President Of John K Boedigheimer Dd 937-492-9983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 14422) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |