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 |