| NPI | 1700122272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB MOHR President/Owner 419-203-6215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 3021918) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-01-02 |