| NPI | 1811057151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R MAYO President 937-548-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30013937) |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2020-08-22 |