| NPI | 1912247388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS M MORETTA President 937-298-4331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 30023539) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2013-02-22 |