| NPI | 1053199539 |
|---|---|
| Doing Business As | PRIME DENTAL |
| Entity Type | Organization |
| Authorized Contact | VIJAY KUMAR GODI Dentist 419-788-5803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |