NPI | 1649388653 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW ANTHONY CORCORAN Owner 513-398-5946 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-01-9670) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2020-08-22 |