| NPI | 1497008312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANEN SCOTT SJOSTROM Pediatric Dentist 614-949-9685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NM DD3647) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |