| NPI | 1922170380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW GREGORY SCHNEIDER President 614-889-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 20864) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 12761) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |