| NPI | 1730495193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON SHAFTEL Owner 513-777-9117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 30-022880) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: OH 30-022580) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2018-10-19 |