| NPI | 1275999344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ELIZABETH CONROY Owner 614-565-3294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 19950) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |