| NPI | 1912152943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROGER KADEL Supervising Dentist Shawnee State 740-351-3216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30-012492) |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |