| NPI | 1841956703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MAYERS Member 419-229-8771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2021-11-15 |