| NPI | 1114034311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DAVIS Dentist 614-792-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 17734) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 14812) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |