| NPI | 1811148265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA MARIE SCHAFER Owner 614-264-3897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WV 3806) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2008-12-02 |