| NPI | 1710070198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN KATHRYN MCGLAUGHLIN Executive Director 614-885-2610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 21394) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2020-08-22 |