NPI | 1730220419 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK EDWARD BRONSON President 513-242-1601 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-19409) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2020-08-22 |