| NPI | 1548568124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DAWN MICHALAK Sole Proprietor 614-534-0688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-022574) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |