| NPI | 1578780029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A, RAY Dds, Ms 614-882-1185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: OH 30017407) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |