| NPI | 1982415154 |
|---|---|
| Doing Business As | 614 DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | TARA POLIZZI Office Manager 614-588-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-01-17 |