| NPI | 1346780723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHYATI PATEL Director 740-707-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30023399) |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2024-06-24 |