| NPI | 1295420388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN RUNION Owner Dentist 614-905-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223P0700X Dentist, Prosthodontics | |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2023-04-06 |