| NPI | 1861736951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A HOMON President 740-417-4985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 30.020832) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2013-12-10 |