| NPI | 1730991522 |
|---|---|
| Doing Business As | NORTHWEST FAMILY DENTAL OF MARYSVILLE |
| Entity Type | Organization |
| Authorized Contact | KEVIN GRILL Owner 614-827-5184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-01-21 |
| Last Update Date | 2025-03-02 |