| NPI | 1831370253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM MYERS President 937-299-5290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 30019810) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |