NPI | 1609815679 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT N. PHAM President 614-866-3411 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 21130) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2016-08-26 |