NPI | 1558667774 |
---|---|
Entity Type | Organization |
Authorized Contact | NATALIE K FISHER Owner 614-457-6649 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-022780) |
Enumeration Date | 2011-02-05 |
Last Update Date | 2011-02-05 |