| NPI | 1710502125 |
|---|---|
| Doing Business As | DENTAL INNOVATIONS OF COLUMBUS |
| Entity Type | Organization |
| Authorized Contact | JORDAN WEGENER Office Manager 402-920-0959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |