| NPI | 1073814562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SNIPES Officer/Owner 614-223-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 30-022583) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2010-11-15 |