| NPI | 1992009245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT E WILLIAMS Partner 740-454-1167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 19202) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 21909) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2020-01-08 |