| NPI | 1649666355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT BRADFORD PHILLIPPI Owner 937-554-0861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 30022577) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |