| NPI | 1588022362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON WASHINGTON Dds/Practice Owner 419-529-0142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30.023500) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |