| NPI | 1750567673 |
|---|---|
| Former Name | MINDY JILL GREENBLATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 30-022478) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2011-07-06 |