| 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 |