| NPI | 1689030652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANETTE C TERTEL Dentist 419-478-8685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 30-18795) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |