| NPI | 1689149320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN J ISON Co Owner 513-772-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2020-02-06 |