| NPI | 1861685968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P CASSIDY President 513-624-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 30017898) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |