| NPI | 1689070351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM LATIF Dentist/Owner 614-445-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 017747) |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2014-11-07 |