| NPI | 1861688020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY DENNIS Business Manager 513-871-8488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: OH 30-01-4284) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |