| NPI | 1760762926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLYN M SEBASTIAN Dentist/Owner 419-357-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.019569) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-09-13 |