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 |