| NPI | 1770973281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL ROGER FLESER Directory 800-222-8207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: OH 30018756) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |