| NPI | 1750584678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA S HIMLER Office Manager 937-644-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 30018099) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |