| NPI | 1770811085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS R STONE Dentist 614-898-9096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 19449) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |