| NPI | 1649695578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DAVISON Owner/ Orthodontist 614-389-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: OH 30.022641) |
| Enumeration Date | 2014-03-01 |
| Last Update Date | 2014-03-01 |