| NPI | 1639622723 |
|---|---|
| Doing Business As | NORTHWEST OHIO PERIODONTICS, LLC |
| Entity Type | Organization |
| Authorized Contact | BRIAN MICHAEL ROY Member 419-865-7692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: OH 30.24791) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |