| NPI | 1508222845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUN WANG Assistant Professor 614-292-8467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: OH 71000244) |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2015-12-31 |