| NPI | 1740629039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI KHAKSARFARD Dentist/Owner 614-824-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 21821) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |