| NPI | 1093864647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACINTO W. BEARD President 614-252-4965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-01-9588) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |