| NPI | 1750500823 |
|---|---|
| Doing Business As | DENTAL GROUP WEST |
| Entity Type | Organization |
| Authorized Contact | TRACY POOLE Doctor 419-539-2168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-02-0294) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-08-30 |