| NPI | 1881798908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HARRY GILSDORF President 740-387-5180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-08-22 |