| NPI | 1699930107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA FURCHTGOTT Teaching Intern 614-440-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-23 |