| NPI | 1659820413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA COMER Office Manager 614-875-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 18619) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 24564) |
| 1223G0001X Dentist, General Practice (Licence: OH 24249) | |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |