| NPI | 1972618551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PETRICONE Partner 513-791-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 14891) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: OH 115203) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-08-25 |