| NPI | 1801224571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE BERKOWITZ Owner 614-475-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 30014268) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |