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 |