| NPI | 1093329914 |
|---|---|
| Doing Business As | FAMILY DENTAL CARE OF LEBANON |
| Entity Type | Organization |
| Authorized Contact | TRAVIS CLARK Dentist 614-937-0509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |