| NPI | 1891885596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT W NIEMAN Practice Owner 614-898-9994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30019924) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2011-04-11 |