NPI | 1912991274 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY CLIFFORD REICH President 614-882-4222 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 13556) |
Enumeration Date | 2005-09-01 |
Last Update Date | 2020-08-22 |