| NPI | 1568710655 |
|---|---|
| Doing Business As | PICKERINGTON MANOR JAW & FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | MANRAJ S. BATH Oral & Maxillofacial Surgeon 614-751-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: OH 20162) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 20162) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2016-07-01 |