| NPI | 1245569516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITZI L HINES Pedodontist 614-475-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30022371) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2024-07-03 |