| NPI | 1811277478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESIA J LANGSTON-MCKENNA Owner 937-393-1472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 31-017770) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |