| NPI | 1720539661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOSEPH HERR Owner/Dentist 419-438-4789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1856497) |
| Enumeration Date | 2016-10-15 |
| Last Update Date | 2016-10-15 |