| NPI | 1861970469 |
|---|---|
| Doing Business As | FOUNTAIN SQUARE COSMETIC DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ANDREW J HARRIS Owner 513-621-2483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH OH18174) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |