| NPI | 1568625184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDA KAY HEATER Office Manager 513-423-2351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 022612) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |