| NPI | 1396057816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KIRK MCBRIDE Managing Member 614-917-8961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN-10233) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |