NPI | 1497052773 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA S BROWN President/Dentist 614-878-1188 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 21933) |
Enumeration Date | 2011-02-22 |
Last Update Date | 2011-02-22 |