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 |