| NPI | 1336639939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH FLOYD JORDAN Dentist 614-309-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 30.023308) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |