| NPI | 1801041405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M. LOOCHTAN Owner 614-863-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 18880) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2014-03-12 |