| NPI | 1982128773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE G. RULE Office Manager 419-473-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: OH 16746) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: OH 30.023663) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |