| NPI | 1730247198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOSEPH MILLER President 614-885-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: OH 30011861) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: OH 30019391) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |