| NPI | 1386810471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS JASON TERSE Owner 614-888-1896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 21537) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |