| NPI | 1407371628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC PAUL BUCK Dentist/Owner 614-792-1800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: OH 30021908) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2018-06-16 |