NPI | 1629294640 |
---|---|
Doing Business As | SOUTHMOOR DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | DARIUS A TALEBI Owner 614-444-9849 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-04-18 |
Last Update Date | 2020-08-22 |