| NPI | 1659453496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE STEPHEN COCHRAN President 419-599-4216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 14651) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-11-09 |