NPI | 1801915004 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES CONROY Orthodontist 614-775-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 13859) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 21227) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2008-09-23 |