| NPI | 1932245446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE E NESSIF Pres Owner 419-472-2621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 12290) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |