NPI | 1619391984 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTINE BEATTY Front Desk 937-233-6500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 20761) |
Enumeration Date | 2014-02-07 |
Last Update Date | 2014-02-07 |