| NPI | 1871003582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY BRAMAN Manager 614-252-3181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2017-10-07 |
| Last Update Date | 2024-11-21 |