NPI | 1659504884 |
---|---|
Doing Business As | CENTERVILLE FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | JOHN CLARKE SANDERS Owner 614-864-3196 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OH 17563) |
Enumeration Date | 2009-09-04 |
Last Update Date | 2009-09-04 |