| NPI | 1720367683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC JACOB MENSAH Owner 614-476-1535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 18153) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |