| NPI | 1851515043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY C. TILTON President 740-373-1826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 16905) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |