| NPI | 1326481011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN T WEITZEL Owner 614-876-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30-022995) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |