| NPI | 1750686077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY A MAYER Oral Surgeon 740-532-4613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 19061) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |