| NPI | 1013266295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY R COLLINS Billing Office COO Rdinator 614-751-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: OH 20162) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2012-09-04 |