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 |