| NPI | 1679960314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE MANUEL TZAGOURNIS Owner/ Dentist 614-882-4032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OH 30020556) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |