| NPI | 1053830547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIN MASON Owner 614-549-5835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 30.023085) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |