| NPI | 1730352964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH DIAZ RAMOS Dentist/Owner 614-832-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: OH 30020810) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |