| NPI | 1225483290 |
|---|---|
| Doing Business As | FAMILY 1ST DENTAL OF COLUMBUS WEST |
| Entity Type | Organization |
| Authorized Contact | NADINE LEE PROSOSKI Regional Coordinator 402-640-9329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |