| NPI | 1710997887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW EMIL SKASKO President / Owner 614-939-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 21907) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |