| NPI | 1669869921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALEXANDRUNAS Principal Owner 614-425-9061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30022273) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |