| 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 |