| NPI | 1619086717 |
|---|---|
| Doing Business As | MID OHIO DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JACK D CASTILLA Dentist Owner 614-279-9204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30016727) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-02-15 |