NPI | 1366728685 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCIA C GERSTMANN Owner 614-575-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30021521) |
Enumeration Date | 2011-11-01 |
Last Update Date | 2023-05-08 |