| NPI | 1568678787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HARVEY IRVIN Owner 740-264-5321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 18767) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |