| NPI | 1922243047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE LOUISE REICHLEY President 937-426-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.021404) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |