| NPI | 1841321320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADD C. TESTERMAN President 513-932-4806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.021774) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |