| NPI | 1669577680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | G RICHARD SMITH President 937-434-3916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 12117) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |