| NPI | 1073227385 |
|---|---|
| Former Legal Business Name | THE DENTAL GROUP@POLARIS |
| Entity Type | Organization |
| Authorized Contact | AMY ELIZABETH STREETS Insurance Accounts Cordinator 614-888-3692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-01-11 |