| NPI | 1922120146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL RITTER Orthodontist 937-890-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 30.015795) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |