| NPI | 1942396791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A HERMAN Owner 937-439-1606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 30016756) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |