| NPI | 1326151440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROBERT MALE President 614-471-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 30017379) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |