NPI | 1598968398 |
---|---|
Doing Business As | DENTAL REFLECTIONS - BETHEL |
Entity Type | Organization |
Authorized Contact | MICHAEL C SOULT President Owner 614-459-0011 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30-013986) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30-021803) |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 30-020583) | |
Enumeration Date | 2007-06-08 |
Last Update Date | 2007-10-05 |