| NPI | 1265867477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI WACKERLY Office Manager 614-864-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 3021980) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |