| NPI | 1689795213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER A. ROBERTS President 419-423-1452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: OH 30018395) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |