NPI | 1952647828 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL J BEZBATCHENKO Owner/Dentist 614-890-1571 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Additional Taxonomies | 122300000X Dentist (Licence: OH 15998) |
Enumeration Date | 2012-12-21 |
Last Update Date | 2016-11-16 |