| NPI | 1922587757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAVLA FLANAGAN Receptionist 614-870-3337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30023039) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |