| NPI | 1942467808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAE SU YIM Owner, Dentist 937-642-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-022153) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |