| NPI | 1972744191 |
|---|---|
| Doing Business As | BUCKEYE DENTAL AND BRACES |
| Entity Type | Organization |
| Authorized Contact | GEOFFREY LOUIS STEFKO Member 888-276-4530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-24 |