| NPI | 1508980632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA M HOLSCHBACH Office Manager 614-878-9562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 14584) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 21625) |
| 1223G0001X Dentist, General Practice (Licence: OH 14470) | |
| 1223P0700X Dentist, Prosthodontics (Licence: OH 20269) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2009-05-28 |