NPI | 1609916667 |
---|---|
Former Legal Business Name | MARIANNE L. COBURN, D.D.S., TERENCE P. KELLY, D.D.S., & JOHN HELMKAMP, |
Entity Type | Organization |
Authorized Contact | TERENCE PATRICK KELLY President 419-627-8131 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2007-02-07 |
Last Update Date | 2011-02-02 |