| NPI | 1609096619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC M ORNELLA Dentist 513-791-9336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 17256) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |