| NPI | 1578717484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERCY LESLIE TORKORNOO President 937-626-2629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30022493) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2024-05-24 |