NPI | 1578943064 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN EARL SLITER Owner 614-453-2806 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.024479) |
Enumeration Date | 2015-06-01 |
Last Update Date | 2015-06-23 |