| NPI | 1679940118 |
|---|---|
| Doing Business As | EASTGATE DENTAL EXCELLENCE |
| Entity Type | Organization |
| Authorized Contact | STEPHEN PAUL KUENNEMEIER Dentist/Owner 513-753-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 16903) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: OH 23243) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |