NPI | 1770860728 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDY JOSE Owner 614-428-7320 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: 30019954) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: OH 30020138) |
Enumeration Date | 2011-11-04 |
Last Update Date | 2011-11-04 |