| NPI | 1548788631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY HUANG TUCKER President 419-463-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30.023424) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |