| NPI | 1598904310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J DIMICHAELANGELO Practice Administrator 614-806-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 18047) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |