| NPI | 1699814566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER CHARLES BUCHSIEB President 614-428-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 17709) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |