| NPI | 1750403093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MARK TOOTLE President 740-477-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30016505) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |