| NPI | 1962725077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA REYNOLDS LOSEY Partner 937-642-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-022215) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30021273) |
| 1223G0001X Dentist, General Practice (Licence: OH 30023450) | |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2023-10-19 |