| NPI | 1588836423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA COMER Office Manager 614-875-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30-018619) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30-020907) |
| 122300000X Dentist (Licence: OH 30.023283) | |
| 122300000X Dentist (Licence: OH 30-023335) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2011-02-22 |