| NPI | 1962647180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI EBERLE Office Manager 419-782-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 30013385) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |