| NPI | 1952721169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK L LEVY President 614-777-7350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: OH 16150) |
| Enumeration Date | 2014-04-27 |
| Last Update Date | 2023-11-07 |