| NPI | 1598825804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE BINSKY Business Manager 614-870-3337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 20927) |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: OH 20390) |
| 1223P0300X Dentist, Periodontics (Licence: OH 30018636) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |