| NPI | 1598884108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA MARTZ Vice President 419-756-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 30-01-4695) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |