| NPI | 1558454942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIJANE KIPP Office Manager 614-262-9588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 16442) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2013-06-18 |