| NPI | 1811444912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL KIM Sole Member 419-309-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.024081) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |