| NPI | 1902928492 |
|---|---|
| Other Name | PRAIRIE DENTAL EXCELLENCE |
| Entity Type | Organization |
| Authorized Contact | MELODIE BERRY Office Manager 614-878-6417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 3117700) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-06-18 |