| NPI | 1962838813 |
|---|---|
| Doing Business As | TRENTON FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KENNETH PRUNIER CEO/President 937-499-8205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |