| NPI | 1619090552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J DUBOS President 614-875-6601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 21586) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 15233) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2020-08-22 |