| NPI | 1770705345 |
|---|---|
| Former Legal Business Name | DR. PAUL V. BONETZKY INC |
| Entity Type | Organization |
| Authorized Contact | DEAN P BONETZKY Practice Administrator 937-843-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2022-07-21 |