| NPI | 1841406089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY Q FARAHAY President/Owner 740-439-1204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 21896) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2019-08-21 |