| NPI | 1750591715 |
|---|---|
| Doing Business As | VAN BUREN DENTAL |
| Entity Type | Organization |
| Authorized Contact | KATIE M TEDFORD Office Manager 937-253-9115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 15738) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |