| NPI | 1780776575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDI PATRICIA BITTLE Office Manager 419-756-0711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2011-08-09 |