| NPI | 1013441872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C ANTHONY Owner/Dentist 740-913-0328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223P0300X Dentist, Periodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |