| NPI | 1972965879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARCHANA TADISENA Owner 513-377-0787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS038123) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |