| NPI | 1699004218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA GERDSEN DEVER President 513-777-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 30-022401) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2009-12-10 |