| NPI | 1265749899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIEGO SOLIS Clinic Director 614-342-5795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 71000178) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-09-02 |