| NPI | 1609348283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZHENIA SHIRCK Office Manager 614-855-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |