| NPI | 1295019115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEE SMITH Owner 614-759-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 30022270) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |