| NPI | 1215163423 |
|---|---|
| Doing Business As | EAST SIDE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN CLARKE SANDERS Owner 614-759-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30017563) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |