| NPI | 1376000224 |
|---|---|
| Former Legal Business Name | KIDSMILES PEDIATRIC DENTAL CLINIC, JAMES A. HOMON PROF. ASSOC. |
| Entity Type | Organization |
| Authorized Contact | LAURA NICOLE ZUBER Executive Director 614-458-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-03-05 |