NPI | 1477216901 |
---|---|
Doing Business As | COLVIN AVENUE DENTAL |
Entity Type | Organization |
Authorized Contact | GREGORY LEWIS Member 614-563-0271 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-10-21 |
Last Update Date | 2021-10-21 |