| NPI | 1730248923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH JEAN MUNTAN Office Manager 419-756-1452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 19908) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2008-05-30 |