| NPI | 1962561761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL GOLUB President 513-891-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 15146) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2020-08-22 |