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 |