| NPI | 1750735783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BAUDENDISTEL Owner 513-661-8509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 30023714) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-04-15 |