| NPI | 1982053856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON CANFIELD Owner 740-521-4142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30023922) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |