| NPI | 1588783864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA RAE COURTNEY Dentist 614-451-7393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 20529) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |