| NPI | 1164809760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HONGWEI WANG Owner/Dentist 614-895-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30023529) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30023849) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |