| NPI | 1770795205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART LEE DUCHON Doctor 419-385-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 30014597) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2009-04-21 |