| NPI | 1821837022 |
|---|---|
| Other Name | TBD |
| Entity Type | Organization |
| Authorized Contact | NASSAR MOHAMMAD Dentist/Owner 614-778-6967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |