| NPI | 1285186932 |
|---|---|
| Doing Business As | GRANDVIEW YARD POLARIS DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JESSICA BOWERSOCK Treatment Coordinator 614-505-7027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30.022887) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |