| NPI | 1043427883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P. ELLIS Vice President 614-764-9455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 30016487) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |