| NPI | 1184024754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY M GILL Owner/Member 614-345-8824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30-022080) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |