| NPI | 1902940596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD J. DACEY President 513-385-5430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 14012) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |