| NPI | 1730527102 | 
|---|---|
| Doing Business As | COMMUNITY DENTAL AT MINERVA PARK | 
| Entity Type | Organization | 
| Authorized Contact | PETER JUNSUN AHN Dentist 614-426-4554 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice | 
| Enumeration Date | 2013-06-07 | 
| Last Update Date | 2013-06-07 |