| NPI | 1497031215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS NIEDERHELMAN Owner 614-791-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 18823) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 21427) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |