| NPI | 1184005241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M MYERS Director 614-292-1472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: OH 71.000244) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |