| NPI | 1679857981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J. STRIEBEL Owner 937-293-4261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 16847) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2012-01-18 |