| NPI | 1609231406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA KLINGENSMITH HATFIELD Owner 614-451-5161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 21041) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2016-07-08 |