NPI | 1962647180 |
---|---|
Doing Business As | DEFIANCE DENTAL GROUP |
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 |