| NPI | 1700027042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH J MOLNAR Owner 419-529-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2012-03-19 |