| NPI | 1629346903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJEEVE K GOEL Owner 513-942-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 122300000X Dentist |
| 1223P0300X Dentist, Periodontics | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |