| NPI | 1861596470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L. CRAIG WRIGHT Owner 614-889-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 21051) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 14002) |
| 122300000X Dentist (Licence: OH 20917) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |