| NPI | 1669893756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN R BATES Owner/ Dentist 614-870-8474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 22264) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |