| NPI | 1932100476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN A. LANG Secretary 513-424-5349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-01-8981) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-08-22 |