| NPI | 1902348063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMANDA LESTER Office Manager 740-264-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.023979) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |