| NPI | 1376578302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELO J DEFALCO President/Owner 614-866-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 14058) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |