NPI | 1801158092 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW MICHAEL KILLGORE Owner/President 513-777-9117 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30022880) |
Enumeration Date | 2012-06-13 |
Last Update Date | 2012-06-13 |