| NPI | 1548351497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY J SCHMIT President 740-774-1175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 30010904) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 30019471) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2018-01-24 |