| NPI | 1730695529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YISSELL CARPENTINO- DE JESUS Pediatric Dentist 937-848-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30023825) |
| Enumeration Date | 2017-12-17 |
| Last Update Date | 2017-12-17 |