NPI | 1568297067 |
---|---|
Doing Business As | BOSTON ROAD FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | MINWOO JANG Dentist 614-301-6429 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-09-04 |
Last Update Date | 2024-09-04 |