| NPI | 1023300241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATYA POTARAJU Dentist/Owner 614-268-8794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30022194) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2011-05-05 |