| NPI | 1982699104 |
|---|---|
| Doing Business As | THE DENTAL DEPOT |
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOSEPH HAGERTY President/Partner 937-837-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 19230) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2020-08-22 |