| NPI | 1578689295 |
|---|---|
| Doing Business As | KLERMONT 4 KIDS & ADULTS 2 |
| Entity Type | Organization |
| Authorized Contact | WILLIAM RUDOLPH FRY Business Manager 513-735-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30013796) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-03-25 |