| NPI | 1518912831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC JOHN KOREN Officer 513-777-2313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30014442) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-08-20 |