| NPI | 1932776473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY RYAN MINGA Manager/ Orthodontist 614-800-7352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-06-04 |