| NPI | 1851440903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DEAN CARPENTER Owner 419-592-9956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.020485) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2019-01-15 |