| NPI | 1861600132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY T. KAISER Owner 419-352-4661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 3414334) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2016-03-29 |