| NPI | 1992193940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER L SCHAEFER Owner 419-626-2792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-01-8881) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |