| NPI | 1083137483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY MICHAEL UNGER Owner 614-378-9578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 32660) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2022-07-21 |