NPI | 1952720070 |
---|---|
Entity Type | Organization |
Authorized Contact | GEOFFREY FRONING President 567-644-4438 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 21506) |
Enumeration Date | 2014-04-16 |
Last Update Date | 2014-04-16 |