| NPI | 1356875868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURENDER TIPPIREDDY General Dentist 614-855-5828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 30023515) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |