| NPI | 1891904843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVEN LEE HERSTIG President 614-864-2140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OH 13496) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |