| NPI | 1881867778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRA L MEYER Pediatric Dentist 419-229-3007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30020325) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |