| NPI | 1891004818 |
|---|---|
| Doing Business As | BLUE ASH DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | RYAN MICHAEL DETMER President/Owner 513-891-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.022367) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2010-09-27 |