| NPI | 1790052801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRANG KIM NGUYEN Owner/Operator 937-256-7277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 20808) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |