| NPI | 1104160670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A HOMON President 614-932-9356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 30.020832) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2013-12-13 |