| NPI | 1295848893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ROBERT ANDERSON President 614-224-1942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |