| NPI | 1811027352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY T PATTERSON President 740-282-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 19940) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |