| NPI | 1851025076 |
|---|---|
| Doing Business As | DENTIST IN PERRYSBURG |
| Entity Type | Organization |
| Authorized Contact | SREEKANTH REDDY EMANI Manager 917-882-9613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2023-01-20 |