| NPI | 1740779792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALLAS H MARGESON Owner 614-761-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: OH 30.025199) |
| Enumeration Date | 2018-05-05 |
| Last Update Date | 2018-05-05 |