NPI | 1538330089 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN THOMAS KERNAN President Oral Maxillofacial Surgeo 937-885-7204 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 18518) |
Enumeration Date | 2008-03-12 |
Last Update Date | 2008-03-12 |