| NPI | 1801082789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE A MUTCHLER Partner 419-423-0343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 17943) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |