| NPI | 1801067665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD RAY LEE Owner 614-547-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30014112) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30021473) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2011-06-13 |