| NPI | 1992508097 |
|---|---|
| Doing Business As | SOUTH HIGH DENTAL |
| Entity Type | Organization |
| Authorized Contact | TRACEY RECKNER Om 740-965-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |