| NPI | 1598120172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS STONE President 614-898-9096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 19449) |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |