| NPI | 1811437361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLSIE CRUTCHFIELD COO/ Managing Partner 513-909-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.023137) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |