| NPI | 1932662939 |
|---|---|
| Doing Business As | BOAIN DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | TY JUSTICE Director, Credentialing & Payer Rel 513-808-4984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2024-03-12 |