| NPI | 1215097936 |
|---|---|
| Doing Business As | DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HEIDI A MICHAEL Doctor 614-775-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 19306) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |