NPI | 1831408475 |
---|---|
Entity Type | Organization |
Authorized Contact | GERALD HOWARD KASSOY Dr. / Owner 614-575-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 14900) |
Enumeration Date | 2010-09-30 |
Last Update Date | 2010-09-30 |