| NPI | 1477002640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN BEDNAR Owner 614-980-8747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2024-07-09 |